Individual
TODD JAMES CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
76576 JOHNSON RUN RD, KIMBOLTON, OH 43749-9535
(330) 802-2123
(330) 686-2782
Mailing address
76576 JOHNSON RUN RD, KIMBOLTON, OH 43749-9535
(330) 802-2123
(234) 706-5265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13855-NP
OH
Other
Enumeration date
09/28/2012
Last updated
07/21/2022
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